Provider Demographics
NPI:1285283614
Name:TENPENNY, KILLEEN
Entity type:Individual
Prefix:MS
First Name:KILLEEN
Middle Name:
Last Name:TENPENNY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SAVANNAH RDG
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-8331
Mailing Address - Country:US
Mailing Address - Phone:615-481-3111
Mailing Address - Fax:
Practice Address - Street 1:315 SAVANNAH RDG
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-8331
Practice Address - Country:US
Practice Address - Phone:615-481-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty